Unknown Individual – Trauma Surgery Physician, NPI 1164490702

Unknown Individual is a healthcare provider. based in Cincinnati, Ohio. specializing in Trauma Surgery Physician. They hold a License No. 35-046805 (OH). The NPI Number for Unknown Individual is 1164490702

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164490702
Phone
(513) 245-3335
Address
2830 VICTORY PKWY
Deactivation Date
27 December 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 2830, Victory Parkway, East Walnut Hills, Cincinnati, Hamilton County, Ohio, 45206, United States

    STE. 320

    CINCINNATI, OH 452061785

    Phone: (513) 245-3335

    Fax: (513) 475-7259

    Type: Mailing

  • 222, Piedmont Avenue, Pill Hill, Corryville, Cincinnati, Hamilton County, Ohio, 45219, United States

    STE. 7000

    CINCINNATI, OH 452194231

    Phone: (513) 475-8787

    Fax: (513) 475-7348

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45206)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1164490702 for Unknown Individual, then check state licensing separately.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Trauma Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Cincinnati, Ohio in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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